NPI | 1992929616 |
---|---|
Former Name | MI RAN CHUN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A103558) |
Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care (Licence: CA A103558) |
Enumeration Date | 2007-04-12 |
Last Update Date | 2013-11-21 |